Masters Licensed Alcohol and Drug Counselor (Full Time)

About the role

North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve. As a valued team member this role emphasizes advancing High-Reliability Organization (HRO) principles, embedding a culture of safety, accountability, and consistent high performance. Adhering to System Values, Service Excellence, and Standards of Behavior, the Substance Use Disorder Counselor/Clinician provides evidence-based assessment, counseling, crisis response, care coordination, and recovery support services for adolescents, adults, and families within a New Hampshire Doorway program and integrated healthcare setting. This role supports screening, brief intervention, referral to treatment, and ongoing recovery planning across primary care, emergency, outpatient, and community-facing workflows as applicable. The position partners with patients, families, providers, peer support, and community organizations to develop individualized plans, improve access to services, reduce barriers to engagement, and support sustained recovery. Responsibilities also include education, timely documentation, participation in case review and quality improvement activities, and professional representation of the program in internal and external partnerships.

Responsibilities

• Provide evidence-based substance use disorder assessment, counseling, crisis response, and care coordination services for adolescents, adults, and families within a New Hampshire Doorway program and integrated healthcare setting.
• Conduct bio-psychosocial and substance use assessments, risk screenings, and ongoing reassessments to determine level of need, readiness for change, co-occurring behavioral health concerns, safety risks, and appropriate treatment recommendations.
• Deliver individual, family, and group counseling interventions using trauma-informed, person-centered, strengths-based, and culturally responsive practices, including motivational interviewing, relapse prevention, harm reduction, and recovery-oriented approaches.
• Support Doorway and SBIRT services by providing screening, brief intervention, referral to treatment, and early engagement across primary care, emergency, outpatient, and community-facing workflows as applicable.
• Respond to walk-in, referred, and crisis-related presentations by completing timely screening and evaluation, assisting with de-escalation and crisis stabilization, and coordinating linkage to the appropriate level of care.
• Develop, implement, monitor, and update individualized treatment and recovery plans in collaboration with patients, families or support as appropriate, medical providers, peer recovery support, and community partners.